How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | None | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | UE · Used equipment | $69.18 | $69.18 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $186.21 | Professional | None | $112.20 | $125.89 | $186.21 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $18.20 | $18.62 | $18.62 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | None | $95.50 | $112.20 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $223.87 | Facility | None | $87.10 | $112.20 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | None | $151.36 | $158.49 | $158.49 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $61.66 Typical High $109.65 | Professional | None | $7.41 | $61.66 | $109.65 |
United Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $125.89 | Professional | None | $60.26 | $83.18 | $125.89 |
United Setting Professional Modifier RR · Rental Typical Low $6.03 Median $8.32 Typical High $12.59 | Professional | RR · Rental | $6.03 | $8.32 | $12.59 |
United Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $61.66 Typical High $95.50 | Professional | UE · Used equipment | $45.71 | $61.66 | $95.50 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier KE · Bid item, non-bid base Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | KE · Bid item, non-bid base | $199.53 | $199.53 | $199.53 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | KU · Bidding program group 3 | $186.21 | $186.21 | $186.21 |
Where South Carolina sits
The same service costs 1.9 times more in Wisconsin than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 26th of 51
$126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.